Healthcare Provider Details

I. General information

NPI: 1235920620
Provider Name (Legal Business Name): LITTLE MOTION CO. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7012 NW 63RD ST STE 102
BETHANY OK
73008-1966
US

IV. Provider business mailing address

7012 NW 63RD ST STE 102
BETHANY OK
73008-1966
US

V. Phone/Fax

Practice location:
  • Phone: 405-237-9154
  • Fax: 405-583-7553
Mailing address:
  • Phone: 405-237-9154
  • Fax: 405-583-7553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHALYN HOOTEN
Title or Position: OWNER/FOUNDER
Credential: PT
Phone: 405-517-7021